Job Details

ID #2734400
State Tennessee
City Cordova
Full-time
Salary USD TBD TBD
Source Anthem
Showed 2019-09-26
Date 2019-09-27
Deadline 2019-11-25
Category Et cetera
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Mgr Clinical Quality -Onsite- Louisville KY PS27515

Tennessee, Cordova 00000 Cordova USA

Vacancy expired!

Mgr Clinical Quality -Onsite- Louisville KY PS27515Location: United StatesNewRequisition #: PS27515Your Talent. Our Vision. At Anthem Blue Cross and BlueShield , a proud member of the Anthem, Inc.

family of companies, it’s a

powerful combination, and the foundation upon which we’re creating greater access

to care for our members, greater value for our customers, and greater health

for our communities. Join us and together we will drive the future of healthcare . This is an exceptional opportunity to do innovative work that means

more to you and those we serve.Manager Clinical Quality -Onsite- Louisville KY PS27515Summary: The Manager, Clinical Quality is responsible for managing the day-to-day activities of one or more clinical quality program components which may be related to HEDIS reporting, NCQA accreditation and/or other quality assurance related activities.Primary duties may include, but are not limited to:

Implements and evaluates current processes including operational statistics, service standards and process improvement initiatives.

Provides oversight in the planning, implementation and coordination of health care audits to ensure high quality, cost effective care.

Participates in internal and external quality review activities.

Manages and oversees quality assurance activities, which may include, but is not limited to: managing the production, analysis, and submission of the annual HEDIS report; overseeing community health promotion and disease management initiatives in each state in the region; coordinating audit activities with other regions; managing achievement and maintenance of NCQA accreditation; scheduling all information for surveys, conducting mock audits, and providing consultation to business units and team leads as regards NCQA standard issues.

Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications:

Requires a BS in nursing or a health care related field;

3 years of managed care experience, including experience in program development and knowledge of the quality process and QI techniques;

2 years of supervisory experience; or any combination of education and experience, which would provide an equivalent background.

MS in nursing or related clinical field and CPHQ preferred.

Certification and/or license appropriate to field of specialty as required.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

Vacancy expired!

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